SABRINA PRUDENCIO NP
NPI 1447607148
Nurse Practitioner - Family in Fontana, CA
About Sabrina Prudencio Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SABRINA PRUDENCIO NP (NPI 1447607148) is an individual family provider in Fontana, California, licensed in California (NP95004278) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sabrina Prudencio Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Sabrina Prudencio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fontana, CA 92335
- Reassigned Medicare billing, California enrollment
- 5,228 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92335 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sabrina Prudencio's NPI number?
The NPI number for Sabrina Prudencio is 1447607148. It was assigned to this individual provider in the NPPES registry on May 23, 2016.
Where is Sabrina Prudencio located?
Sabrina Prudencio practices at 9792 Sierra Ave, Fontana, CA 92335. The listed phone number is (909) 434-6000.
What is Sabrina Prudencio's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Sabrina Prudencio enrolled in Medicare?
Yes. Sabrina Prudencio is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Sabrina Prudencio's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sabrina Prudencio reassigns Medicare benefits to Southern California Permanente Medical Group (Fontana, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sabrina Prudencio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Sabrina Prudencio was last updated on November 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Sabrina Prudencio, NP · NPI 1447607148
Family physician in Fontana, California. Individual provider, active in the CMS NPPES registry since May 23, 2016.
## Identity
- **NPI:** 1447607148 (Entity type: Individual)
- **Enumerated:** May 23, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** NP95004278 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 9792 SIERRA AVE, Fontana, CA 92335-6717
- **Phone:** (909) 434-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1689606196, Fontana, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** November 10, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1447607148) · Data from the CMS NPPES public registry.